Dr John Wood Fishburne Iv, PHD - Medicare Psychologist in Spokane, WA

Dr John Wood Fishburne Iv, PHD is a medicare enrolled "Psychologist" provider in Spokane, Washington. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 104 S Freya St Ste 214a, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 888-0048.

Dr John Wood Fishburne Iv is licensed to practice in Washington (license number PY00003685) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003957291.

Contact Information

Dr John Wood Fishburne Iv, PHD
104 S Freya St Ste 214a,
Spokane, WA 99202-6204
(509) 888-0048
(509) 534-3193

Map and Direction




Healthcare Provider's Profile

Full NameDr John Wood Fishburne Iv
GenderMale
SpecialityClinical Psychologist
Experience21 Years
Location104 S Freya St Ste 214a, Spokane, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Wood Fishburne Iv graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1003957291
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 11/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1052506706
  • Enrollment ID: I20101108001377

Medical Identifiers

Medical identifiers for Dr John Wood Fishburne Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003957291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY00003685 (Washington)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John Wood Fishburne Iv allows following entities to bill medicare on his behalf.
Entity NameJohn W Fishburne Phd Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669864047
PECOS PAC ID: 8820301674
Enrollment ID: O20150722004750

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Wood Fishburne Iv is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Wood Fishburne Iv, PHD
104 S Freya St Ste 214a,
Spokane, WA 99202-6204

Ph: (509) 888-0048
Dr John Wood Fishburne Iv, PHD
104 S Freya St Ste 214a,
Spokane, WA 99202-6204

Ph: (509) 888-0048

Reviews and Comments


Psychologist in Spokane, WA

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Dr. Lawrence Ray Weathers, PH.D
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Phone: 509-434-7000    
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Phone: 509-747-0165    

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